Provider Demographics
NPI:1952546673
Name:DURAMED, INC
Entity Type:Organization
Organization Name:DURAMED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:DAVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-819-3241
Mailing Address - Street 1:3545 NW 58TH ST STE 330
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4718
Mailing Address - Country:US
Mailing Address - Phone:405-819-3241
Mailing Address - Fax:405-609-2997
Practice Address - Street 1:3545 NW 58TH ST STE 330
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4718
Practice Address - Country:US
Practice Address - Phone:405-819-3241
Practice Address - Fax:405-609-2997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies